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South Dakota CLIA and State Lab Requirements

The state lab license or registration, exemptions, fees and where the CMS-116 goes, with citations.

Verified October 10, 2026 against the statutes, regulations and sources cited below. The state decides every application. All states

What testing sites miss in South Dakota

Does South Dakota require a state lab license on top of CLIA?

South Dakota's list of state-licensed health facilities does not include laboratories; the Department of Health notes only that federal law requires labs testing human specimens to be certified. A waived site needs its CLIA Certificate of Waiver.

  • Does not reach waived-only labs

Where does a South Dakota CMS-116 go?

  • South Dakota Department of Health, Office of Health Care Facilities Licensure and Certification
  • Email: SDCLIA@state.sd.us
  • Phone: (605) 394-6173

Opening a testing site in South Dakota?

We prepare the CMS-116 and any South Dakota filing for your owner or director to sign, and track both to approval. You pay CMS and the state directly. A Certificate of Waiver application is $399 per site.

Sources

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